Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME0072849 | FL |
NPI | 1023059169 |
---|---|
Provider Name | Dr. Stuart H Isaacson |
First Address | Boca Raton, FL 33486-2337 |
Second Address | Boca Raton, FL 33486-2337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 04/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G06343 | (02) |